Kent Dentistry & Implants

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KENT DENTISTRY & IMPLANTS

Practice address

70 Maple St
Kent, CT 06757-1721

Phone

(860) 927-3577

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gi Tae Kwon, DDSNPI 1649795964

Title

Owner Partner

Phone

(201) 707-4661

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gi Tae Kwon, DDS

  • General Practice Dentistry
  • New London, CT
  • NPI 1649795964
  Authorized official Same address or phone
• Byungchul Park, D.D.S.

  • General Practice Dentistry
  • New London, CT
  • NPI 1316317092
  NPD
• George Wayne Hetson, DMD

  • General Practice Dentistry
  • Kent, CT
  • NPI 1801926282
  NPD (past)
• Jill Marla Hetson, DMD

  • General Practice Dentistry
  • Kent, CT
  • NPI 1841320223
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1295505246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAPLE ST",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067571721",
            "telephone_number": "860-927-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAPLE ST",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067571721",
            "telephone_number": "860-927-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT DENTISTRY & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "GI TAE",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "201-707-4661",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa E Jacobs, LPC, NCC
• John Thomas Kennedy, EDD, LMHC
• Kent Apothecary LLC (Kent Station Pharmacy)
• Kent Apothecary LLC (Kent Station Pharmacy)
• Kent Chiropractic Associates LLC
• Kent Eyecare, LLC
• Kent Med Peds, LLC
• Kent Pharmacy, LLC
• Kent Physical Therapy, LLP
• Kent Primary Care, LLC

• Dental Clinic/Center in Kent, CT
• Providers in Kent, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.